Toronto Star

U.S. military spends five times more on Viagra than medical costs for transgende­r troops

- CHRISTOPHE­R INGRAHAM THE WASHINGTON POST

WASHINGTON— On Twitter Wednesday morning, U.S. President Donald Trump announced a ban on transgende­r people serving in the U.S. military, citing “medical costs” as the primary driver of the decision.

“Our military must be focused on decisive and overwhelmi­ng victory and cannot be burdened with the tremendous medical costs and disruption that transgende­r in the military would entail,” the president wrote.

While Trump didn’t offer any numbers to support this claim, a Defense Department-commis- sioned study published last year by the Rand Corp. provides exhaustive estimates of transgende­r servicemem­bers’ potential medical costs.

Considerin­g the prevalence of transgende­r servicemem­bers among the active duty military and the typical health care costs for transition­related medical treatment, the Rand study estimated that these treatments would cost the military between $2.4 million and $8.4 million (U.S.) annually.

The study didn’t include estimates of these costs for reservists, due to “their highly limited military health care eligibilit­y.”

It also didn’t include estimates for retirees or for military family mem- bers, because many of those individual­s may also have “limited eligibilit­y” for care via military treatment facilities.

“The implicatio­n is that even in the most extreme scenario that we were able to identify . . . we expect only a 0.13-per-cent ($8.4 million out of $6.2 billion) increase in health-care spending,” Rand’s authors concluded.

By contrast, total military spending on erectile dysfunctio­n medicines amounts to $84 million annually, according to an analysis by the Military Times — 10 times the cost of annual transition-related medical care for active duty transgende­r servicemem­bers.

The military spends $41.6 million annually on Viagra alone, according to the Military Times analysis — roughly five times the estimated spending on transition-related medical care for transgende­r troops.

Looked at another way, the upper estimate for annual transgende­r medical costs in the military amounts to less than one-tenth of the price of a new F-35 fighter jet. Or a thousandth of 1 per cent of the Defense Department’s annual budget.

The price of providing medical care to transgende­r servicemem­bers, in other words, is negligible, and hardly “tremendous,” as the president put it.

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